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DEVARAJ BEHAVIORAL HEALTHCARE PLLC NPI 1093362840


NPI Information

NPI: 1093362840
Provider Name: DEVARAJ BEHAVIORAL HEALTHCARE PLLC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

CLIA Number: 51D2260846

Address:
1109 JEFFERSON RD STE C
SOUTH CHARLESTON, WV
ZIP 25309
Phone: (877) 338-2725
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DEVARAJ BEHAVIORAL HEALTHCARE PLLC is a psychiatry psychiatry neurology in South Charleston, WV. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. DEVARAJ BEHAVIORAL HEALTHCARE PLLC NPI is 1093362840. The provider is registered as an organization entity type.

The provider's business location address is:

1109 JEFFERSON RD STE C
SOUTH CHARLESTON, WV
ZIP 25309-815
Phone: (877) 338-2725
Fax: (304) 715-3537

The provider's authorized official is Jacob M Bounds .
The authorized official title is Clinical Director and has the following contact phone number (877) 338-2725.

The CLIA number assigned to this NPI record is 51D2260846 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/26/2019 and was last updated on 1/5/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthNo
22084P0800XPsychiatry & NeurologyPsychiatryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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